Intravenous Pump Flow Accuracy: A Systematic Review.

IF 2.9 Q1 NURSING Journal of Infusion Nursing Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI:10.1097/NAN.0000000000000576
Jeannine W C Blake
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Abstract

Intravenous pumps (IVPs) deliver IV medications to millions of acute care patients each year and result in many adverse events reported to the US Food and Drug Administration (FDA). Although the use of IVPs has improved overall safety, there are still high rates of error that risk the safety of all patients, especially those of advanced age and those suffering from critical illness. Most of the documented errors are based on clinician reports, although there is reason to believe that errors due to flow rate inaccuracy go undetected and unreported. The purpose of this systematic literature review was to explore literature regarding flow rate accuracy for IVPs used in US acute care medicine. The systematic review was conducted by searching PubMed, CINHAL, and Web of Science. Articles chosen were from any year, written in the English language, and had content pertaining to the use of IVPs and key concepts of interest. Concepts discussed throughout the literature are relevant to the IVPs used for patient care, including outlet pressure, intake pressure, dead volume, and pump setup. This review provides a conceptual overview of what is known about this technology but reveals a gap in knowledge related to actual IVP clinical accuracy.

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静脉泵流量准确性:系统综述。
静脉泵(IVPs)每年为数百万急性护理患者提供静脉药物,并导致许多不良事件报告给美国食品和药物管理局(FDA)。尽管IVPs的使用提高了整体安全性,但仍然存在较高的错误率,危及所有患者的安全,特别是老年患者和危重疾病患者。大多数记录在案的错误都是基于临床医生的报告,尽管有理由相信由于流速不准确而导致的错误未被发现和报告。本系统文献综述的目的是探讨在美国急症护理医学中使用的IVPs流速准确性的文献。系统评价通过检索PubMed、CINHAL和Web of Science进行。选择的文章来自任何年份,用英语写的,内容与ivp的使用和感兴趣的关键概念有关。整个文献中讨论的概念都与用于患者护理的ivp相关,包括出口压力、吸入压力、死气量和泵设置。这篇综述提供了关于这项技术已知的概念概述,但揭示了与实际IVP临床准确性相关的知识差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.00
自引率
15.00%
发文量
52
期刊介绍: Journal of Infusion Nursing, the official publication of the Infusion Nurses Society (INS), seeks to promote excellence in infusion nursing by presenting new research, clinical reviews, case studies, and professional development information relevant to the practice of infusion therapy. Articles selected for publication represent the broad scope of the infusion specialty and draw on the expertise of all healthcare providers who participate in the delivery of infusion therapy.
期刊最新文献
A New Year and New Opportunities in Infusion Nursing. Characteristics of Peripheral Intravenous Catheter Cannulation in Older Japanese Inpatients. Development and Content Validity of a Questionnaire on Peripheral Intravenous Catheter Maintenance and Knowledge of Nursing Professionals Regarding Best Practices. Development and Testing of an Objective Structured Clinical Examination for Evaluating Nurses in Infusion Therapy. Factors and Strategies Influencing Chemotherapy Safety Among Oncology Nurses: A Qualitative Descriptive Study.
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